Caroline Johnson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

09925944 Issued in CO

Practice address

12731 Longview Park LN
Peyton, CO 80831-6999

Phone

(208) 608-4416

NPI assigned

Feb 6, 2022

Last updated

Feb 6, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Caroline Neely Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1644105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644105600000",
    "number": "1962156299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12731 LONGVIEW PARK LN",
            "city": "PEYTON",
            "state": "CO",
            "postal_code": "808316999",
            "telephone_number": "208-608-4416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12731 LONGVIEW PARK LN",
            "city": "PEYTON",
            "state": "CO",
            "postal_code": "808316999",
            "telephone_number": "208-608-4416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CAROLINE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-06",
        "last_updated": "2022-02-06",
        "certification_date": "2022-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "09925944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "johnsoncm2020@gmail.com",
            "affiliation": "N",
            "address_1": "12731 Longview Park Ln",
            "city": "Peyton",
            "state": "CO",
            "country_code": "US",
            "postal_code": "808316999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CAROLINE",
            "last_name": "NEELY",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kelsie Lynn Ives, MBA, MS, RD
• Leandra Jackson, RMT
• Nancy A James, PT
• Joesph's Expertise, Inc
• John C. Haeseker, O.D. PC
• Jay B Johnson, DMD
• Just for Grins LLC
• Michelle Dannette Keck, REGISTERED NURSE
• Sabrina Keller
• Ronald Kelly

• Clinical Social Worker in Peyton, CO
• Providers in Peyton, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.